Prior authorizations are a major pain point in the healthcare life cycle, with clinicians and payers alike finding the process complex, costly, and error prone. According to a CAQH report published in 2024, about…
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Prior authorization has been a bone of contention between payers and providers for some time now. Payers argue that it helps avoid unnecessary care and reduces costs, while providers say it creates administrative…
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As many patients with traditional health insurance do in the US, I scheduled some additional medical appointments for the fall and early winter once I realized that I had met my insurance deductible. One…
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Oron Afek, CEO of Vim
The U.S. healthcare system is grappling with a surge in claim denials and prior authorization requirements, creating significant challenges for both providers and patients. To shed light on this pressing…
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Introduction
Prior authorization is a widely implemented process in healthcare, intended to ensure that treatments, tests, and medications are necessary and cost-effective. However, many experts, including Peter Ax, CEO of UpScriptHealth, argue that prior authorization…
Dmitry Sotnikov, Chief Product Officer at Cayosoft
It’s well known that ransomware is on the rise across industries. Healthcare organizations experienced more ransomware attacks than any other critical infrastructure sector last year, according to the…
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The following is a guest article by Scott Ragsdale, Head of U.S. Healthcare Region at Nutanix
Ransomware is a critical threat in today’s business landscape, and the effects of these attacks are especially detrimental for healthcare…
Blue Shield of California is partnering with tech company Salesforce to give physicians and patients prior authorization answers in actual time, instead of days. The aim is to streamline the prior authorization process, while at…
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Despite today’s technological advancements, a large amount of prior authorization requests are submitted via fax machine. A new partnership between Blue Shield of California and Salesforce will address this issue.
The partnership was announced Monday…
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What You Should Know:
– Blue Shield of California and Salesforce are joining forces to tackle a major pain point in healthcare: the lengthy and often frustrating process of prior authorizations.
– The new AI-powered platform…
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